Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $12.85 / $45.43	Facility		$9.27	$12.85	$45.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.48 / $16.23	Professional		$6.73	$7.48	$16.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $8.25	Professional		$6.73	$6.73	$8.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $12.51 / $144.04	Facility		$6.98	$12.51	$144.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $14.79	Professional		$6.73	$6.73	$14.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $27.30 / $42.90	Facility		$10.05	$27.30	$42.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.40 / $23.40	Professional		$19.50	$23.40	$23.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $17.51 / $144.04	Facility		$12.51	$17.51	$144.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $9.01 / $19.50	Professional		$6.73	$9.01	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $10.10 / $20.19	Professional		$7.13	$10.10	$20.19